Healthcare Provider Details

I. General information

NPI: 1063402154
Provider Name (Legal Business Name): CHOICECARE HOME HEALTH, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/28/2005
Last Update Date: 09/17/2025
Certification Date: 09/17/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

15635 S 94TH AVE STE 108
ORLAND PARK IL
60462-4722
US

IV. Provider business mailing address

15635 S 94TH AVE STE 108
ORLAND PARK IL
60462-4722
US

V. Phone/Fax

Practice location:
  • Phone: 708-489-0123
  • Fax: 708-489-2239
Mailing address:
  • Phone: 708-489-0123
  • Fax: 708-489-2239

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number1010179
License Number StateIL
# 2
Primary TaxonomyN
Taxonomy Code251J00000X
TaxonomyNursing Care Agency
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code385H00000X
TaxonomyRespite Care
License Number
License Number State

VIII. Authorized Official

Name: MR. MUHAMMAD NAZIR
Title or Position: PRESIDENT
Credential:
Phone: 708-489-0123